علاج تضخم بطانة الرحم بدون نمط خلوي شاذ

References

• The 2014 revised WHO classification simply separates endometrial hyperplasia into two groups based upon the presence or absence of cytological atypia, i.e. (i) hyperplasia without atypia and (ii) atypical hyperplasia; the complexity of architecture is no longer part of the classification.
• Postmenopausal women requiring surgical management for endometrial hyperplasia without atypia should be offered a bilateral salpingo-oophorectomy together with the total hysterectomy.
• For premenopausal women, the decision to remove the ovaries should be individualised; however, bilateral salpingectomy should be considered as this may reduce the risk of a future ovarian malignancy.
• A laparoscopic approach to total hysterectomy is preferable to an abdominal approach as it is associated with a shorter hospital stay, less postoperative pain and quicker recovery.